Active NPI
Marilyn Shippey Buron, OTR/L, CHT
- Hand Occupational Therapist
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- OT3171
- Practice address
- 9040 Friars Rd
Suite 410
San Diego, CA 92108-5859 - Phone
- (619) 283-9610
- Fax
- (619) 283-9692
- NPI assigned
- Jul 20, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hand Occupational Therapist | 225XH1200X | OT3171 | CA | Primary |
Addresses
Primary practice location
9040 Friars Rd
Suite 410
San Diego, CA 92108-5859
Mailing address
10713 Ballystock CT
San Diego, CA 92131-3603
Phone (858) 549-9963
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT3171 | CA | MD | Hand Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Dieguito Orthopedic Medical Center P C | Current | Accepting new patients | |
| Scripps Encinitas Surgery Center, LLC | Past | Accepting new patients |
Locations
2451 Impala Dr
Carlsbad, CA 92010
Phone (760) 942-4400
332 Santa Fe Dr
Ste 110
Encinitas, CA 92024
Phone (760) 632-4266
332 Santa Fe Dr
Ste 120
Encinitas, CA 92024
Phone (760) 942-4400
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopaedic Surgery Physician
- Encinitas, CA
- NPI 1356433965
-
- Ambulatory Surgical Clinic/Center
- Encinitas, CA
- NPI 1821112145
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1760402929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10713 BALLYSTOCK CT",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921313603",
"telephone_number": "858-549-9963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9040 FRIARS RD",
"address_2": "SUITE 410",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921085859",
"telephone_number": "619-283-9610",
"fax_number": "619-283-9692"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURON",
"first_name": "MARILYN",
"middle_name": "SHIPPEY",
"credential": "OTR/L, CHT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "CA",
"license": "OT3171",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.